Individual provider Active NPI

Michael Edward Tschickardt, M.D.

  • Interventional Pain Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1477565208
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L 6686 Issued in TX
Practice address
7101 Williams Dr
Corpus Christi, TX 78412-4947
Phone
(361) 854-1910
Fax
(361) 884-1555
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X L 6686 TX Primary

Addresses

Primary practice location

7101 Williams Dr
Corpus Christi, TX 78412-4947

Mailing address

7101 Williams Dr
Corpus Christi, TX 78412-4947
Phone (361) 854-1910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address COASTALBENDPAINMANAGEMENT@CBPM.ssdirect.aprima.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416001037 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3173518412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of South Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Michael E Tschickardt MD PAGroup PAC ID 4587670880, 2 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

7101 Williams Dr
Corpus Christi, TX 78412-4947
Phone (361) 854-1910

Merit-based Incentive Payment System (MIPS)

Final score
82.17 of 100Reported as group
Quality
71.2
Promoting interoperability
90
Improvement activities
40
Cost
77.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L 6686TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Tschickardt, M.D., P.a. Interventional Pain Medicine CurrentSince Jan 1, 2006 Accepting new patients
Titan Anesthesia Associates LLC PastSince May 3, 2009 Accepting new patients

Locations

7101 Williams Dr
Corpus Christi, TX 78412
Phone (361) 561-0144

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1477565208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-854-1910",
            "fax_number": "361-884-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-854-1910",
            "fax_number": "361-884-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHICKARDT",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L 6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "COASTALBENDPAINMANAGEMENT@CBPM.ssdirect.aprima.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7101 Williams Dr",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784124947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.